Hourly and Per Visit Wage Report

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1 Hourly and Per Visit Wage Report For additional information, please contact Jeanette Janota, Surveys & Analysis American Speech-Language-Hearing Association Rockville, MD , ext

2 Contents Executive Summary... 1 Salaries... 2 Salary Basis... 2 Employment Status... 3 Hourly Wage... 3 Creating Two Categories... 3 Overall Average Wage... 3 Facility... 4 Function... 4 Highest Degree... 4 Geographic Region... 5 Population Density... 5 Years of Experience... 6 Private Practice (Co)owner... 6 Per Visit Wage... 6 Overall Average Wage... 6 Facility... 7 Function... 7 Geographic Region... 7 Population Density... 7 Other Predictors... 7 Survey Notes and Methodology... 8 Response Rate... 8 Other Reports... 8 Suggested Citation... 8 Resources... 9 Additional Information... 9 Thank You... 9 Appendix: Data Tables Table 1: Salary Basis Table 2: Hourly Wage by Type of Facility Table 3: Hourly Wage for Clinical Service Providers Table 4: Median Hourly Wage by Region of the Country Figures Figure 1: Salary Basis... 2 Figure 2: Employment Basis and Status... 3 Figure 3: Median Hourly Wage by Type of Facility... 4 i

3 Figure 4: Median Hourly Wage by Geographic Area... 5 Figure 5: Median Hourly Wage by Years of Experience... 6 Figure 6: Median Per Visit Wage by Region of the Country... 7 ii

4 Executive Summary The American Speech-Language-Hearing Association (ASHA) conducted a survey of speech-language pathologists (SLPs) in the spring of The survey was designed to provide information about health care based service delivery and to update and expand information gathered during previous SLP Health Care Surveys. The results are presented in a series of reports. This report addresses only questions on the survey pertaining to caseload. Data are drawn from all six types of health care facilities: general medical and longterm acute care (LTAC) hospitals, rehabilitation (rehab) hospitals, pediatric hospitals, skilled nursing facilities (SNFs), home health agencies and clients homes, and outpatient clinics and offices. Highlights: Hourly 56% of SLPs received an hourly wage. 59% of hourly wage earners worked full-time. The median number of hours worked by SLPs who received an hourly wage was 30. Median hourly wages were $38.25 for SLPs who worked more than 30 weekly hours, $46.00 for SLPs who worked 30 or fewer hours. Highest hourly wages were In the West ($41.97) for SLPs who worked more than 30 hours, In the Northeast ($52.88) for SLPs who worked 30 or fewer hours. Per Visit 12% of SLPs received a per visit wage. Median per visit wage was $ Median per visit wage was highest in the West ($74.29). Per visit wages were higher in rural areas ($70.86) than in other areas. 1

5 Salaries The SLPs who responded to the survey varied by salary basis (annual/hourly/per visit) and status (full-time/part-time). In addition, differences in function, facility, region of the country, and other similar characteristics had an impact on their wages. Salary Basis Of the SLPs who responded to the 2013 Health Care Survey, 56% reported that they worked for an hourly wage, and 12% were paid per visit (see Figure 1 and Appendix, Table 1). Figure 1. Salary Basis 33% 56% Hourly wage Per visit wage Annual salary 12% n = 1,939 SLPs in home health agencies or clients homes (56%) were more likely to receive a per visit wage than an annual salary or hourly wage. However, SLPs in outpatient clinics or offices (51%), rehab hospitals (56%), general medical hospitals (66%), and SNFs (81%) were more likely to receive an hourly wage, and SLPs in pediatric hospitals (63%) were more likely to receive an annual salary (see Appendix, Table 1). 2

6 Employment Status Of all the SLPs who answered the question, 67% worked full-time. However, 59% of those who received an hourly wage and 47% of those who were paid per visit worked full-time (see Figure 2). Figure 2. Employment Basis and Status Total 67% 33% Annual 89% 11% Full-time Hourly 59% 41% Part-time Per Visit 47% 53% 0% 25% 50% 75% 100% n = 1,951 The remainder of this report will present data that describe the hourly wage earners and the SLPs who receive a per visit wage. Hourly Wage For hourly wage earners, most of the data in this report are divided by the median number of hours worked. Half of the SLPs who received an hourly wage worked 30 or fewer hours per week, and half worked more than that. Creating Two Categories Salaries and wages are traditionally presented in ASHA reports as a function of various demographic characteristics, such as facilities, years of experience, and region of the country. A minimum of 25 individuals in a category must have answered relevant questions for data to be presented. Overall Average Wage The overall median hourly wage was $46.00 for SLPs who were employed up through 30 hours weekly and $38.25 for those who worked more hours (see Appendix, Table 2). 3

7 Facility There was more variability across facilities for SLPs working up through 30 hours than for those working more hours. Wages for SLPs working up to the median number of hours ranged from $38.67 in rehab hospitals to $71.64 in home health agencies and clients homes. The range of median wages for SLPs working more than 30 hours was from $35.13 in rehab hospitals to $40.00 in SNFs. Too few SLPs in pediatric hospitals reported hourly wages for their data to be included (see Figure 3 and Appendix, Table 2). Figure 3. Median Hourly Wage by Type of Facility General Medical Rehab Hospital SNF Home Health $41.60 $36.96 $38.67 $35.13 $45.00 $ or fewer hours More than 30 hours $71.64 Clinic $50.00 $35.63 $0.00 $25.00 $50.00 $75.00 n = 961 Function The median wage was $46.00 for clinical service providers who worked 30 or fewer hours per week and $38.00 for those who worked more hours. The median wage for administrators or supervisors was $41.16 (n = 29). There were too few respondents in this category to divide them by the number of hours worked. Highest Degree Nearly all (98%) of the hourly wage earners held a master s as their highest degree. The median hourly wage for the 18 doctoral holders cannot be reported, but the median was $41.00 for the SLPs who had a master s degree (n = 1,036). 4

8 Geographic Region Median hourly wages for both groups of SLPs (those working 30 or fewer hours and those working more than 30 hours) were lowest in the Midwest: $41.19 and $36.68, respectively. Highest hourly wages were in the Northeast ($52.88) for SLPs working 30 or fewer hours and in the West ($41.97) for those working more hours (see Figure 4 and Appendix, Table 4). Figure 4. Median Hourly Wage by Geographic Area Northeast $38.00 $52.88 Midwest South West $41.19 $36.68 $48.00 $38.24 $46.25 $ or fewer hours More than 30 hours $0.00 $20.00 $40.00 $60.00 n = 1,028 When earnings were analyzed by both geographic area and type of facility, many of those categories had insufficient numbers of cases for data to be presented. Of those that could be shown, however, the highest average wages were in outpatient clinics or offices in the Northeast for SLPs who worked 30 or fewer hours ($70.00; see Appendix, Table 4). Population Density For SLPs working 30 or fewer hours, median wages were slightly higher in suburban areas than in other areas: $45.00 in metropolitan/urban areas, $48.00 in suburban areas, $45.00 in rural areas. For SLPs working longer workweeks, median hourly wages showed little variability: $38.72 in metropolitan/urban areas, $38.00 in suburban areas, $39.00 in rural areas. 5

9 Years of Experience Wages were higher at each level of experience for SLPs who worked 30 or fewer hours than they were for those who worked longer workweeks. Moreover, the range between lowest and highest median hourly wages was greater for SLPs working more than 30 hours weekly ($34.00 to $42.66) than for those working 30 or fewer hours ($45.00 to $52.66; see Figure 5). Figure 5. Median Hourly Wage by Years of Experience $60.00 $40.00 $20.00 $ or fewer hours More than 30 hours n = 1,032 Private Practice (Co)owner The median hourly wage for SLPs who were private practice owners or coowners was $60.00 (n = 159) for those working up to 25 hours per week (the median length of the work week for private practice owners and co-owners) and $40.00 (n = 149) for those working a longer work week. These data are not shown in an appended table, but additional information about private practice owners and co-owners can be found in a separate report as noted on page 8. Per Visit Wage Overall Average Wage Twelve percent of the SLPs who participated in this survey were paid on a per visit basis (see Figure 1). Their overall median per visit wage was $

10 Facility Function Only one type of facility had sufficient numbers to allow reporting of per visit wages. The median per visit wage in home health agencies or clients homes was $65.00 (n = 207). The only function reported by a sufficient number of respondents was clinical service provider. The median per visit wage for clinical service providers was $65.00 (n = 216). Geographic Region Per visit wages were highest in the West ($74.29; see Figure 6). Figure 6. Median Per Visit Wage by Region of the Country Northeast $65.00 Midwest $70.00 South $65.00 West $74.29 n = 224 $0.00 $20.00 $40.00 $60.00 $80.00 Population Density Per visit wages were higher in rural areas than in other settings: $65.00 in metropolitan/urban areas $65.00 in suburban areas $70.86 in rural areas Other Predictors Not enough respondents provided years of experience data, and only one SLP earning a per visit wage held a doctorate degree, so results are not available by either experience or highest degree. 7

11 Survey Notes and Methodology Response Rate The SLP Health Care Survey has been fielded in odd-numbered years since 2005 to gather information of interest to the profession. Members, volunteer leaders, and staff rely on data from the survey to better understand the priorities and needs of SLPs. The survey was mailed in February 2013 to a random sample of 4,000 ASHA-certified SLPs who were employed in health care settings in the United States. An reminder was sent a week later. Second (March) and third (April) mailings followed, at approximately 3- or 4- week intervals, to individuals who had not responded to earlier mailings. The sample was a random sample, stratified by type of facility and by private practice. Small groups, such as pediatric hospitals, were oversampled. Therefore, weighting was used when presenting data to reflect the actual distribution of SLPs in each type of facility within ASHA. Of the original 4,000 SLPs in the sample, 1 was deceased, 10 were retired, 4 had bad addresses, 133 were employed in other types of facilities, 20 were not employed in the field, and 5 were ineligible for other reasons, leaving 3,827 possible respondents. The actual number of respondents was 2,048, resulting in a 53.5% response rate. The results presented in this report are based on responses from those 2,048 individuals. Other Reports Results from the 2013 SLP Health Care Survey are presented in a series of reports at Survey Summary Report Caseload Characteristics Workforce and Practice Issues Private Practice (Co)owners Annual Salary Report Survey Methodology, Respondent Demographics, and Glossary Suggested Citation American Speech-Language-Hearing Association. (2013). ASHA SLP Health Care Survey 2013: Hourly and per visit wage report. Available from 8

12 Resources ASHA SLP Health Care Survey Hourly and Per Visit Wage Reports. ASHA SLP Health Care Survey Hourly and Per Visit Wage Trends. Salary data may also be available from other sources, such as state associations and state departments of labor. Suggested websites include the following: Additional Information Thank You For additional information regarding the 2013 SLP Health Care Survey, please contact Gennith Johnson, associate director of Health Care Services, at , ext. 5681, or Monica Sampson, associate director of Health Care Services, at ext. 5686, or or Janet Brown, director of Health Care Services, at ext. 5679, or To learn more about resources for ASHA members working in health care, visit ASHA s website at ASHA would like to thank the speech-language pathologists who completed the 2013 Health Care Survey. Reports like this one are only possible because people like you participate. Is this information valuable to you? If so, please accept invitations to participate in other ASHA-sponsored surveys and focus groups. You are the experts, and we rely on you to provide data to share with your fellow members. ASHA surveys benefit you. 9

13 Appendix: Data Tables 10

14 Table 1: Salary Basis Q. 12 How are you paid in your main job? (Percentages) Analyses limited to respondents who met the following criteria: CCC-SLP Employed full-time or part-time Salary Basis Total General Hospital Medical/ Rehab LTAC Hospital Pediatric Hospital Skilled Nursing Facility (SNF) Home Health/ Client s Home Outpatient Clinic/ Office (n = 1,939) (n = 305) (n = 151) (n = 82) (n = 498) (n = 378) (n = 494) Primarily annual salary Primarily per hour Primarily per home health visit Statistical significance χ 2 (10) = , p =.000, Cramer s V =

15 Table 2: Hourly Wage by Type of Facility Q. 14. If you are paid on an hourly basis, what is the hourly rate you receive at your main job? (You may include decimals.) Analyses limited to respondents who met the following criteria: CCC-SLP Received an hourly salary of at least $1 General Home Percentile Total Medical/ Rehab Pediatric Health/ SNF LTAC Hospital Hospital Client s Hospital Home 30 or fewer hours Outpatient Clinic/ Office (n = 515) (n = 94) (n = 39) (n = 12) (n = 134) (n = 58) (n = 166) 25th $39.00 $35.41 $35.00 $40.00 $50.00 $ th (median) $46.00 $41.60 $38.67 n < 25 $45.00 $71.64 $ th $57.18 $48.00 $45.82 $50.00 $85.00 $75.00 More than 30 hours (n = 514) (n = 100) (n = 39) (n = 16) (n = 259) (n = 19) (n = 72) 25th $33.50 $31.52 $32.00 $36.00 $ th (median) $38.25 $36.96 $35.13 n < 25 $40.00 n < 25 $ th $42.67 $41.05 $41.00 $43.00 $

16 Table 3: Hourly Wage for Clinical Service Providers Q. 14. If you are paid on an hourly basis, what is the hourly rate you receive at your main job? (You may include decimals.) Analyses limited to respondents who met the following criteria: CCC-SLP Received an hourly salary of at least $1 General Home Percentile Total Medical/ Rehab Pediatric Health/ SNF LTAC Hospital Hospital Client s Hospital Home 30 or fewer hours Outpatient Clinic/ Office (n = 498) (n = 93) (n = 39) (n = 12) (n = 134) (n = 55) (n = 155) 25th $39.00 $35.13 $35.00 $40.00 $50.00 $ th (median) $46.00 $41.81 $38.67 n < 25 $45.00 $70.28 $ th $56.92 $48.00 $45.82 $50.00 $85.00 $75.00 More than 30 hours (n = 488) (n = 97) (n = 38) (n = 16) (n = 242) (n = 18) (n = 69) 25th $33.46 $31.24 $31.81 $35.48 $ th (median) $38.00 $36.85 $35.32 n < 25 $39.93 n < 25 $ th $42.18 $41.10 $41.00 $43.00 $

17 Table 4: Median Hourly Wage by Region of the Country Q. 14. If you are paid on an hourly basis, what is the hourly rate you receive at your main job? (You may include decimals.) Analyses limited to respondents who met the following criteria: CCC-SLP Received an hourly salary of at least $1 Region Total General Pediatric Home Health/ Medical/ Rehab Hospital SNF Hospital Client s Home LTAC Hospital Outpatient Clinic/Office n Wage n Wage n Wage n Wage n Wage n Wage n Wage 30 or fewer hours Northeast 115 $ n < $ $70.00 Midwest 123 $ $ $ $36.98 n < 25 n < 25 n < 25 South 174 $ $ $ $50.00 West 103 $ n < n < $50.87 More than 30 hours Northeast 68 $ n < $ n < 25 Midwest 148 $ $ $ n < 25 n < 25 n < 25 South 205 $ $ $ $35.00 West 192 $ n < $ n < 25 Northeast: Midwest: South: West: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming 8/27/13 14

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